Individual
JESSICA IVETTE JAIME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
275 BECK AVE # MS 5-250, FAIRFIELD, CA 94533-6804
(707) 784-8323
Mailing address
727 SHAMROCK CT, FAIRFIELD, CA 94533-1452
(909) 910-0464
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
130209
CA
1041C0700X
Clinical Social Worker
130209
CA
Other
Enumeration date
08/21/2018
Last updated
08/04/2025
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